Ahmad Fotovat (NPI# 1740234178, PAC ID# 3971519398) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1740234178 |
| PAC ID by PECOS | 3971519398 |
| Professional Enrollment ID | I20060222000580 |
| Full Name | Ahmad Fotovat |
| Organization Legal Name | ST. VINCENT'S MULTISPECIALTY GROUP |
| Address |
115 Technology Dr C100 Trumbull CT 06611-6339 |
| Phone Number | 2032685312 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1975 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6204977218 |
| Number of Group Practice Members | 198 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070028 | ST. VINCENT'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 115 Technology Dr, C100, Trumbull, CT 06611-6339 | 2032685312 | ST. VINCENT'S MULTISPECIALTY GROUP |
| Organization Legal Name | ST. VINCENT'S MULTISPECIALTY GROUP |
| Physicians | 167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Lorraine Harrell | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Danielle C Rivera | Nurse Practitioner | St. Vincent's Multispecialty Group | 2979 Main St, Bridgeport, CT 06606-4284 |
| Imran Siddiqui | General Surgery | St. Vincent's Multispecialty Group | 2660 Main St, Suite 110, Bridgeport, CT 06606-5300 |
| Elizabeth Bergman | Clinical Social Worker | St. Vincent's Multispecialty Group | 2595 Main St, Stratford, CT 06615-5812 |
| Antonela Barbu | Family Medicine | St. Vincent's Multispecialty Group | 2238 Black Rock Tpke, Fairfield, CT 06825-3219 |
| Andre L Newfield | Psychiatry | St. Vincent's Multispecialty Group | 1 Lois St, Norwalk, CT 06851-4404 |
| Anna Wisniewski-zyskowski | Psychiatry | St. Vincent's Multispecialty Group | 2400 Main St, Bridgeport, CT 06606-5323 |
| Stephanie Katherine Gohlsch | Physician Assistant | St. Vincent's Multispecialty Group | 2800 Main St, Bridgeport, CT 06606-4201 |
| Fereshteh Ahmadian | Internal Medicine | St. Vincent's Multispecialty Group | 2800 Main St, Bridgeport, CT 06606-4201 |
| Gabriel Arimoro | Psychiatry | St. Vincent's Multispecialty Group | 2800 Main St, Bridgeport, CT 06606-4201 |
| Street Address |
115 TECHNOLOGY DR C100 |
| City | TRUMBULL |
| State | CT |
| Zip | 06611-6339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura K Degeorge | Nurse Practitioner | Cardiology Physicians of Fairfield County LLC | 115 Technology Dr, C300, Trumbull, CT 06611-6347 |
| Jitendra B Bharucha | General Surgery | 115 Technology Dr, Cp101, Trumbull, CT 06611-6342 | |
| Joseph Evangelista | Internal Medicine | Northeast Medical Group Inc | 115 Technology Dr, Trumbull, CT 06611-6337 |
| Linda S Werner | Endocrinology | Endocrine Associates LLC | 115 Technology Dr, Unit C101, Trumbull, CT 06611-6300 |
| Robert C Deal | Obstetrics/gynecology | Women's Health Care, LLC | 115 Technology Dr, Suite A100, Trumbull, CT 06611-6341 |
| Sandra P Mattison | Obstetrics/gynecology | Physicians for Women's Health, LLC | 115 Technology Dr, Unit A200, Trumbull, CT 06611-6338 |
| Erika A Strohmayer | Endocrinology | Endocrine Associates LLC | 115 Technology Dr, Unit C101, Trumbull, CT 06611-6300 |
| Jeffrey M Kurilec | Ophthalmology | 115 Technology Dr, C201, Trumbull, CT 06611-6347 | |
| Joseph John Tiano | Cardiovascular Disease (cardiology) | Cardiology Physicians of Fairfield County LLC | 115 Technology Dr, C300, Trumbull, CT 06611-6347 |
| Cynthia L Rizzardi | Nurse Practitioner | Endocrine Associates LLC | 115 Technology Dr, Unit C101, Trumbull, CT 06611-6300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Magdalena Rodriguez Cordero | General Practice | Carr 602 Km, 4 Bo Angeles, Angeles, PR 06611-0099 | |
| Susan M Mudd | Registered Dietitian Or Nutrition Professional | Fairfield County Medical Group PC | 15 Corporate Dr, Suite 2 1, Trumbull, CT 06611-1351 |
| Frank Spano | Internal Medicine | Fairfield County Medical Group PC | 15 Corporate Dr, Suite 2 1, Trumbull, CT 06611-1351 |
| Susan S Krutt | Qualified Audiologist | Connecticut Ear Nose Throat Medical and Surgical Specialists PC | 15 Corporate Dr, Suite 2 8, Trumbull, CT 06611-1351 |
| Colleen E Driscoll | Physician Assistant | Connecticut Ear Nose Throat Medical and Surgical Specialists PC | 15 Corporate Dr, Suite 2 8, Trumbull, CT 06611-1351 |
| Stephanie F Merck | Nurse Practitioner | Fairfield County Medical Group PC | 15 Corporate Dr, Suite 2 1, Trumbull, CT 06611-1351 |
| Daniel Jay Rudolph | Internal Medicine | Pulmonary and Internal Medicine Associates PC | 15 Corporate Dr, Trumbull, CT 06611-1351 |
| Daniel R Tierney | Physician Assistant | Connecticut Ear Nose Throat Medical and Surgical Specialists PC | 15 Corporate Dr, Suite 2 8, Trumbull, CT 06611-1351 |
| Kateryna Karayanidi | Qualified Audiologist | Connecticut Ear Nose Throat Medical and Surgical Specialists PC | 15 Corporate Dr, Suite 2 8, Trumbull, CT 06611-1351 |
| Rachelle D Angelo | Nurse Practitioner | Fairfield County Medical Group PC | 15 Corporate Dr, Suite 2 1, Trumbull, CT 06611-1351 |
| Find all physicians in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TRUMBULL + GENERAL SURGERY |
Please comment or provide details below to improve the information on Ahmad Fotovat.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.